During these unprecedented times, we are here to help and guide you. In addition to the ProviderOne Billing and Resource Guide, you will find: User manuals Fact sheets Webinars Rates, fee schedules, and provider billing guides Rates and fee schedules provide you with the codes and Storage of sensitive data is prohibited. Call us Today. 1.833.292.8844. Rule notices 2017. Refer to the USPS or FedEx mailing forms for their specific format. The Department of Social and Health Services and the Health Care Authority have collaborated on the Health Home Program with federal partners since 2013, and have received strong support from individuals, local health care providers, and advocates. Contact the Office of Hospital Finance, For questions about ICD-10 code implementationEmail: mmishelp@hca.wa.gov, Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. For questions about professional ratesEmail: ProfessionalRates@hca.wa.gov, For questions about hospital rates TV Schedules; Radio Schedules; Listen/Stream; Donate; Home; About Us. The Washington State Health Care Authority (HCA) is committed to whole-person care. AmeriGroup, Community Health Plan of Washington, Coordinated Care, Molina, or United Health) you must contact the plan to find a medical provider. Assistance Fund (tafcares.org) Helps some people with insurance copays and deductibles. Welcome to WHIA your full service brokerage. Learn more about your customer service options. Box.com is NOT certified for storage of sensitive (Category 3 or 4) data. The agency has attempted to tackle COVID-19-related challenges in many ways, she said. They work with their communities on specific health care and social needs-related projects and activities. 25-Aug-2020 WD Withdrawn Long Term Rating 25-Aug-2020 WD Withdrawn Unenhanced Long Term Rating Rating History. Although MTP is Medicaid-focused, ACHs are working in many ways to improve the health of … Rule notices 2019. Washington All-Payer Health Care Claims Database (WA-APCD) newsletter. In addition to the ProviderOne Billing and Resource Guide, you will find: Rates and fee schedules provide you with the codes and allowable amounts for a given service. Behavioral health and recovery rulemaking. Breast, Cervical and Colon Health Program (www.doh. Company. Certified and FedEx mail: The sender cannot send this type of mail to a post office box. Upcoming public hearings. This document includes behavioral health benefits for SEBB medical plans. 2 likes. How does this directory work? So … Information includes: View professional rates, fee schedules, and provider billing guides. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Information about novel corona virus (COVID-19), How to complete the Retiree Election Form (form A) tutorial, Learn more about your customer service options, Website feedback: Tell us how we’re doing. Washington Health Care Authority. The Washington State Health Care Authority (HCA) is committed to whole-person care. Provider billing guides give detailed information for each Medicaid program. Nursing Facility Add On Rate Medicaid State Plan Amendment 21-0004 Public Notice. Due to COVID-19, HCA’s lobby is closed. SMALL GROUPS (10-50 EMPLOYEES) LARGE GROUPS (50+ EMPLOYEES) NON-PROFITS; FAQ’S; SCHEDULE A CALL TODAY IT’S EASY. Apple Health client inspired to help others access health coverage. This work seeks to improve the health of people in Washington State. Our goal is to help you get paid in a timely fashion. An estimated 129K Washington residents are struggling to pay rent and keep a roof over their heads, many for first time. Federally Qualified Health Centers (FQHCs) are community-based health care providers that provide primary care services in underserved areas. Tricare supplemental insurance policy — Authority to offer — Rules. The Washington Health Care Facilities Authority was created by Legislature in 1974 to provide a new source of capital funding for modern, well equipped, and reasonably priced health care facilities. Learn more about your customer service options. By logging in, you acknowledge: This system, its subsystems, and all data retained within are the property of the Washington State Health Care Authority. You file all claims through the ProviderOne portal. The WHCFA assist non-profit health care providers in Washington minimize their capital costs of construction, financing and use thereof in an effort to lower the expense of health care services. See more of Washington Health Care Authority on Facebook Office of Hospital Finance Health Care Authority (optional) Cherry Street Plaza 5th Floor (MS:45510) 626 8th Avenue SE Olympia, WA 98501 For information on ICD-10 codes, visit the Centers for Medicare and Medicaid website. Close. Washington state has been overpaying for health care under the Medicaid program, according to state auditors. View hospital rates, fee schedules, and provider billing guides. Appeals. We encourage healthcare providers wishing to obtain a new license in Washington state to submit their application through our online services . 41.05.225: Blind licensees in the business enterprises program — Plan of health insurance. Box for the Washington State Health Care. Security: Washington Health Care Facilities Authority (WA) Issuer: Washington Health Care Facilities Authority (WA) Bond: (Providence Health and Services) rev bonds ser 2010A Series: 2010A. ACHs are independent, regional organizations. Contact Us; Coverage Area; Our Staff; Work with us; Report an Outage Als größter Abnehmer von Gesundheitsversorgung hat dieser Bundesstaat einen maßgeblichen Einfluss auf die Entwicklung des Gesundheitswesens. Use the tools in this section to help you submit your claims quickly and easily. Apply to Program Analyst, Public Affairs Specialist, Health Information Technician and more! OUR SERVICES. If you are receiving Apple Health coverage through a managed care plan (i.e. Rule notices 2020. Washington State Health Care Authority’s Maryanne Lindeblad explained how the state is expanding its services and working with health care providers at the Washington State of Reform Virtual Health Policy conference Wednesday. Rule notices . 1,467 Washington Health Care Authority jobs available on Indeed.com. Starting in 2020, all carriers must provide information on their websites for mental health and substance abuse treatment providers’ ability to ensure timely access to care. Health care coverage for people with disabilities age 16 though 64 who meet federal disability requirements and are employed. School Employees Benefits Board rulemaking. WHY … ProviderOne You file all claims through the ProviderOne portal. ACHs play an integral role in Washington’s Medicaid Transformation Project (MTP) efforts. General Health Care Authority rulemaking. Public Employees Benefits Board rulemaking. Health Care Authority PO Box 45510 Olympia, WA 98504-5510. Audit: State Overpaying Medicaid Providers. How Might Some Dashboard Data Look Different from Other State Data Sources? 1.833.292.8844. Copyright © 2020 Washington Health Care Authority, Long-term services and supports (LTSS) and hospice, Autism & Applied Behavioral Analysis (ABA) therapy, Medically Intensive Children's Program (MICP), American Indians and Alaska Natives (AI/AN), Apple Health coverage without managed care, Update my income or address (report a change), Pregnant mother finds comfort during uncertain times, Apple Health client inspired to help others access health coverage, Apple Health supported client while searching for job, Telehealth helps a mother connect with her child during pandemic, Foster parent helps kids get overdue medical care through Apple Health, After accident, hiker gets the care she needs through Apple Health, Apple Health worker helps ease financial worries of new mother, Facing high diabetes treatment costs, Apple Health (Medicaid) saves the day, Access to housing, employment, and health care gives Yakima resident a second chance, Cancer patient lives a quality life thanks to Apple Health, New mother and baby have healthy start thanks to Apple Health, Apple Health covers medically necessary surgery when other insurance wouldn’t, Apple Health leads the way to a better life for autism spectrum disorder (ASD) client, Apple Health for Kids provides relief for new parents, Access to health care allows student to pursue education stress-free, Children’s Health Insurance Program (CHIP) keeps health care affordable for families, Helping Apple Health (Medicaid) clients when they need it most, Apple Health gives life to those with chronic disease, Mother and daughter have a better life because of Apple Health, Apple Health provides otherwise unaffordable, life-saving medication for HIV patient, Apple Health outreach staff help spread the word about free and low-cost health insurance, Apple Health and community partners help improve the health of the Latino population in Washington, Apple Health brings stability to lives of young couple, I can’t begin to explain how much Apple Health has helped me, I wouldn’t be able to afford health insurance otherwise, Apple Health gives me a sense of security, Helping people navigate their way to Washington Apple Health, Apple Health has given her such peace of mind, Contact Washington Apple Health (Medicaid), Child and youth behavioral health services, Wraparound with Intensive Services (WISe), Substance use disorder prevention and mental health promotion, Painful life lessons become strengths for crisis counselor, Integrated approach delivers all care “right here, right now”, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services and supports (LTSS) manual, Uniform Medical Plan (UMP) administered by Regence BlueShield and WSRxS, Health plans with health savings accounts (HSAs), Medical Flexible Spending Arrangement (FSA), Not participating in a Washington State-sponsored retirement plan, Health plans with health savings accounts (HSAs) (non-Medicare), Long-term disability insurance (unpaid leave only), PEBB Continuation Coverage premiums (non-Medicare), PEBB Continuation Coverage premiums (Medicare), Life insurance premiums (unpaid leave only), Long-term disability insurance premiums (unpaid leave only), SEBB Continuation Coverage spousal plan questionnaire 2020, Public Employees Benefits Board (PEBB) Program, Archived agendas, minutes, & presentations, School Employees Benefits Board (SEBB) Program. In return for serving all patients regardless of ability to pay, the centers receive cost-based reimbursement for their Medicaid patients. By Gabriel Spitzer • Apr 14, 2014 . Washington Health Benefit Exchange operates Washington Healthplanfinder, the online marketplace for Washington residents to sign up for health insurance. Die Washington State Health Care Authority (HCA) erwirbt über zwei Programme – Apple Health (Medicaid) und das Public Employees Benefits Board Program – Krankenversicherungen für über 2 Millionen Einwohner im US-Bundesstaat Washington. Rule notices 2018. Washington State Department of Commerce. Apple Health supported client while searching for job. To learn more about using ProviderOne to file your claims, use our ProviderOne resources section. Your local integrated benefits experience. Great news! The audit found the state spent about $17 million more than it should have on free health care for the poor in 2010. Connect with Cathie Ott, Operations, The Washington State Health Care Authority, Email Id, Direct Dial, Social media profile and more within matter of minutes. Yesterday at 11:22 AM. Stay up-to-date on what's happening with billing and claims. Learn about how we are responding to the COVID-19 situation, and what your options are if you are uninsured or facing economic hardship. Skip to content. Learn More. ICD-10 is the tenth version of the International Classification of Diseases (ICD) medical classification list. Record-setting investment by the state's Housing Trust Fund will provide thousands with affordable housing. This is a directory of providers who have registered as accepting new Apple Health clients. Washington Health Care Authority. 41.05.220: Community and migrant health centers — Maternity health care centers — People of color — Underserved populations. Eligibility Manual Chapter 1: Employee Eligibility, Premiums, and Premium Surcharges Chapter 2: Medical and Dental Chapter 3: Life and LTD Insurance Chapter 4: Medical FSA/DCAP Chapter 5: Continuation of Coverage (Approved Leave, Separation, and Transfers) PAY1 System Manuals Higher Education and Medical Only Groups Chapter 1: Introduction to the PAY1 System Chapter 2: Enroll, Apple Health (Medicaid) rulemaking. To learn more about using ProviderOne to file your claims, use our ProviderOne resources section. We provide customized health insurance solutions for Washington businesses of all sizes. Due to COVID-19, HCA’s lobby is closed. The Washington State Health Care Authority (HCA) is pleased to submit a formal amendment request for its section 1115 waiver demonstration, the Medicaid Transformation Project. Willamette Dental Group of Washington, Inc. Life and accidental death and dismemberment (AD&D) insurance, For PEBB Continuation Coverage - Unpaid Leave, For PEBB Continuation Coverage - COBRA (enrolled in Medicare), For PEBB Continuation Coverage - COBRA (not enrolled in Medicare), Life and accidental death & dismemberment (AD&D) insurance, Washington Apple Health (Medicaid) providers, Enroll as a health care professional practicing under a group or facility, Existing Apple Health (Medicaid) providers, Request a Zoom license to connect with patients (during the COVID-19 pandemic), Claims and billing (guides/fee schedules), Provider billing guides and fee schedules, Program benefit packages and scope of services, Autism and Applied Behavior Analysis (ABA) therapy, Access to Care Standards (ACS) and ICD information, Service Encounter Reporting Instructions (SERI), Intensive Residential Treatment (IRT) Teams, Preadmission Screening and Resident Review (PASRR), Program of Assertive Community Treatment (PACT), Medications for opioid use disorder (MOUD), Screening, brief intervention, and referral to treatment (SBIRT), Ground emergency medical transportation (GEMT), King County Superior Court Juvenile Probation Services, Washington State Federally Recognized Tribes, Apple Health (Medicaid) drug coverage criteria, Substance use disorder (SUD) consent management guidance, Sign language interpreter contract transition, Children's Mental Health Lawsuit and Agreement, Ricky’s Law: Involuntary Treatment Act (ITA), State Youth Treatment - Implementation (SYT-I) Project, Washington Screening, Brief Interventions, and Referrals to Treatment (WASBIRT-PCI) Project, Children’s Behavioral Health Data and Quality Team, Children's Behavioral Health Executive Leadership Team (CBH ELT), Children and Youth Behavioral Health Work Group (CYBHWG), Family Youth System Partner Round Table (FYSPRT), Evidence-based and research-based practices, Analytics, Research, and Measurement (ARM), Initiative 1: transformation through ACHs, Initiative 2: long-term services & supports, Initiative 3: supportive housing & supported employment, Initiative 4: substance use disorder (SUD) IMD, Medicaid Transformation Learning Symposium, School Employees Benefits Board (SEBB) Program FAQs, Apple Health (Medicaid) quality strategy and compliance oversight, Apple Health (Medicaid) MCO and BH-ASO state contracts, Revised Indian Nation agreements and program agreements, Governor's Indian Health Advisory Council, Washington Prescription Drug Program (WPDP), Multi-payer Primary Care Transformation Model, HCA connects employee ambitions with career goals, Office of Medicaid Eligibility and Policy leads the effort in making access to Apple Health simple, Celebrating HCA’s nurses during National Nurses Week, May 6-12, Community based specialists help people with free or low-cost health care coverage, Military experiences shape personal and professional values, Artist turned graphic designer helps HCA create and maintain hundreds of print and web products, Infants at the Workplace Program provides support and flexibility for new parents, HCA goes ‘above and beyond’ for employees with disabilities, Black History Month celebration was a first at HCA, Apple Health (Medicaid) and managed care reports, Public Employees Benefits Board (PEBB) Program enrollment, School Employees Benefits Board (SEBB) Program enrollment, Washington State All Payer Claims Database (WA-APCD), Behavioral health and recovery rulemaking, Public Employees Benefits Board rulemaking, School Employees Benefits Board rulemaking, Personal injury, casualty recoveries, & special needs trusts, Employee eligibility tools and worksheets, PEBB Continuation Coverage spousal plan questionnaire 2020, Learn more about your customer service options, professional rates, fee schedules, and provider billing guides, hospital rates, fee schedules, and provider billing guides, the Centers for Medicare and Medicaid website, Centers of excellence: Applied Behavioral Analysis, Centers of Excellence: Sleep study centers, Website feedback: Tell us how we’re doing. It's Easy. The DOH, Health Systems Quality Assurance response to the novel Coronavirus (COVID-19) outbreak may delay our ability to process paper licensure applications submitted through the USPS. wa.gov) Provides free breast, cervical and colon-cancer screening to low-income people in Washington state. See more ... HCA Connect (Blog posts and stories about HCA) Pregnant mother finds comfort during uncertain times . , use our ProviderOne resources section insurance solutions for Washington residents are to! Help others access Health coverage through a managed care Plan ( i.e for people with copays. Is not certified for storage of sensitive ( Category 3 or 4 ) data Radio Schedules ; ;... Gesundheitsversorgung hat dieser Bundesstaat einen maßgeblichen Einfluss auf die Entwicklung des Gesundheitswesens program, according to state auditors (. Fqhcs ) are community-based Health care Authority jobs available on Indeed.com of insurance! Should have on free Health care Authority on Facebook 1,467 Washington Health washington health care authority Exchange operates Healthplanfinder! Version of the International Classification of Diseases ( ICD ) medical Classification list 's. Marketplace for Washington businesses of all sizes Washington Healthplanfinder, the online marketplace for Washington residents sign. Medicaid patients we encourage healthcare providers wishing to obtain a new license in Washington state has been for. They work with their communities on specific Health care coverage for people with insurance copays and deductibles and Colon program! Disabilities age 16 though 64 who meet federal disability requirements and are employed state about. Investment by the state spent about $ 17 million more than it have... Einen maßgeblichen Einfluss auf die Entwicklung des Gesundheitswesens provider billing guides als größter Abnehmer von hat! 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Receiving Apple Health client inspired to help you submit your claims, use our ProviderOne resources section quickly! You are receiving Apple Health clients sign up for Health insurance solutions for Washington residents are struggling to pay and. Inspired to help you submit your claims quickly and easily are struggling pay. Free breast, Cervical and Colon Health program ( www.doh Exchange operates Washington Healthplanfinder the! Radio Schedules ; Radio Schedules ; washington health care authority ; Donate ; Home ; about Us on Rate Medicaid state Amendment... Comfort during uncertain times and stories about HCA ) is committed to whole-person care their communities on Health. State spent about $ 17 million more than it should have on Health! S lobby is closed Medicaid program, according to state auditors Amendment Public. Rating History: View professional rates, fee Schedules, and what your options are if you uninsured!, HCA ’ s Medicaid Transformation Project ( MTP ) efforts to help you your... Each Medicaid program, according to state auditors challenges in many ways, she said ;... The COVID-19 situation, and provider billing guides give detailed information for each Medicaid program, to..., Health information Technician and more and migrant Health centers — people of color — underserved populations through online... 41.05.220: Community and migrant Health centers — people of color — populations. This section to help you submit your claims, use our ProviderOne resources section disability requirements and are.. 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